An evaluation of the planning and delivering of nursing care Essay

An evaluation of the planning and delivering of nursing care - Essay Example Considering the case of the patient, this study will discuss the importance of health promotion / health prevention, the acute management of ischemic stroke, and other nursing consideration whilst living with or managing the long-term health condition of the patient. Health Promotion / Health Prevention Aspect Health promotion aims to educate the patients not only on how they can effectively prevent the onset of a disease but also ways on how they can improve their overall well-being (Leddy, 2006, p. 24). Considering the case of the 52-year old patient, this study will focus on discussing the health promotion or health prevention related to ischaemic stroke. Primary Prevention Ischaemic stroke happens in case the brain artery is blocked (Stroke Association, 2012). This causes the blood supply unable to circulate in the brain. According to Wills (2007, p. 16), the three levels of health prevention includes: the primary prevention, secondary prevention, and tertiary prevention. In line with this, primary prevention is all about implementing some strategies that could effectively reduce the risk of a disease. The risk factors of ischaemic stroke can be used to determine what specific health promotion should be advise to the patient. Ischaemic stroke can be triggered by several monogenic disorder (i.e. mutation in Notch 3 gene, etc.) (Hassan and Markus, 2000). Although genetic disorders that can lead to stroke can be hereditary by nature, most of the risk factors of stroke are highly modifiable. Since the modifiable risk factors associated with ischaemic stroke include: smoking, hypertension, diabetes, poor diet, atrial fibrillation, lack of exercise, and obesity among others (Ahmad and Lip, 2012; NHS, 2008; Sudlow, 2008; Goldstein et al., 2006), the nurses can provide a primary prevention by teaching the patient the importance of healthy eating (i.e. eat more fish, fruits and vegetables, leanmeat, whole grain, restriction on fat, sugar, and salt intake), include a 30-minutes of regular exercise each day or at least five (5) times each week, refrain from binge drinking and limit the intake of alcohol, and avoid or stop the use of tobacco (WHO, 2012; NHS, 2008). Through health teachings, the nurses can empower the patient through self-actualisation. After conducting a health teaching, the nurse can refer to patient to stop smoking clinics in case the patient is a smoker. In case the patient is at risk of stroke due to poor eating habits, the nurse can refer the patient to a professional nutritionist. Secondary Prevention The secondary prevention is all about shortening the incidence of stroke through early diagnosis and treatment (Wills, 2007, p. 16). Assuming that the patient has suffered from a mild stroke, the secondary prevention should include encouraging the patient to modify their lifestyle and receive early treatment. If the patient has a history of smoking, the nurse should educate and encourage the patient to stop smoking. Likewise, it is equally important for the nurse to encourage the patient to avoid alcohol consumption, watch his diet, and maintain his accepted body weight through regular exercise (Sudlow, 2008; Goldstein et al., 2006). On top of modifying the patient’s lifestyle, the nurse should encourage the patient to receive annual check-up and treatment for signs of risk factors related to the development of a vascular disease. Hyptertention is one of the common risk factors of ischemic

Tourism Trend Research Paper Example | Topics and Well Written Essays - 1000 words - 1

Tourism Trend - Research Paper Example However, in recent years, Florida has been able to develop a novel niche in tourism business called Cruise Tourism. The paper focuses on this new upcoming tourism trend that is making rapid progress in Florida now. In recent years, Florida has become a major tourist destination for variety of reasons. Florida theme parks such as Busch Gardens at Tampa Bay, Magic Kingdom, SeaWorld and Typhoon Lagoon at Orlando, Epcot in Disney World offers a unique experience to the tourists. Most of the tourists make a dedicated visit to some of the theme parks in Florida. Sun shines in Tampa Bay, for almost 360 days in a year, lures tourists to come over there. Tampas only water park, Adventure Island spread in 30 acres also supplements tourists’ experiences that they never want to forget (Henthorn, 2014). It is widely known that the US economy suffered immensely due to financial crisis during 2008-2009; accordingly, American spending on leisure travel also declined. In view of the depressed economic scenario, the tourism industry had to extend Cruise tourism is going to be a future trend in Florida as disposable incomes of the people increases. As per Satchell (2013), Florida is the only state that has some of the busiest cruise ports that include Port Everglades, PortMiami, and Port Canaveral. These three ports in Florida generate around 36 percent of the total $19.6 billion business estimated nationwide. It is important to note that in 2012 almost 60% of the cruise tourists began their voyage from Florida registering a 2.6 percent increase over 2011. In 2011, 13.5 million passengers took advantage of cruise ship vacation. Port Miami and Port Everglades have become top cruise ship organizing port in Florida. Port Everglades can boast of having the worlds largest cruise ship – a 225,000-ton Royal Caribbean mega ship called the Oasis of

The last days of dogtown by Anita Diamant Essay Example for Free

The last days of dogtown by Anita Diamant Essay Introduction   Ã‚  Ã‚  Ã‚  Ã‚   The last days of dogtown is a novel written by Anita Diamant. The purpose of the novel is to express the level of morality of life in the American society during the 19th century. The author reveals life in the 19th century as sad but at the same time thoughtful. The last days of dogtown is a community set in an exotic landscape with a group of different and surprising characters. These characters are depicted as residents who are threatened or damaged by the ill wills of the outside world. Diamant portrays life in dogtown as cruel expressed through poverty and witchcraft. Residents in the last days of dogtown are oppressed by ignorance, poverty, illness and racial inequality. It is set in a dying town in Massachusetts during the 19th century. (Diamant Anita 52)   Ã‚  Ã‚  Ã‚  Ã‚   Dogtown was a name associated with a roaming pack of wild dogs. The wild dogs roamed above the hills of a dying town in Massachusetts. The author portrays dogtown as a refuge place from cruelty and tragedies in the world. However, the decline of morality in dogtown presents other small tragedies which are set off by the residents. Dogtown which acts as a refuge from cruelty in the world presents a settlement space in which residents can live without being damaged or threaten. However dogtown does not fulfill its role since it is portrayed as an open prison where residents are faced by prejudice and other negative influences of the outside world. (Rossi, Mark, Howard 75). The roaming pace of dogs is used to illustrate the large number of people spreading rumor around the town about their townspeople. The spread rumours of presence of witches and whores in the town. Although the rumours are of factual their volume increases when more tongues wag around the town. Residents in this town have made it their business to express the most well hidden secrets of their town’s people. Diamant introduces the character in dogtown in a very confusing manner, creating complex relationships among them. These relationships are tested by the ill wills of the American society. The women in this society are presented as witches, whores or with weird behaviors. The man is depicted as brutal and cruel who shows no respect for the women. All the residents in dogtown have suffered different misfortunes from the brutal society. For example, the thwarted love of a free African woman by a local racist. Dog town’s poverty and misfortune pushes them into different destines. Slavery, alcoholism, poverty, sexuality, prostitution and racial tension have been used to create an immoral American society, in which residents are faced with brutal and cruel misfortunes. Conclusion   Ã‚  Ã‚  Ã‚   The authors major conclusion is that she expresses the possibility of loving even in the most brutal and cruel conditions. In this town, residents behave like a pack of wild dogs, by huddling together with a dedication to survive and live with hope. By coming together, they search for warmth and safety. Although comfort and kindness are hard to find, these people huddle together and are to survive. The author shows the great immorality depicted in the American society during the 19th century expressed in form of alcoholism, poverty, prostitution, racism, sexuality and canine behavior. The author tries to show that people can come together and outcome even the cruelest conditions in the world. The possibility of creating love in such an environment can create harmony by demonstrating kindness and affection. (Diamant Anita 107). Works Cited Diamant Anita. The last days of Dogtown. Simon Schuster, 2006. Diamant Anita. The Red tent: A novel: Tenth-Anniversary Edition. Picador, 2007 Rossi, Peter H, Mark W. Lipsey, Howard E. Freeman. Evaluation: Systematic approach, sage, 2004.

Financial History of the American Airlines

Financial History of the American Airlines American Airways was incorporated in 1930, becoming American Airlines in 1934. Operating as a passenger and cargo carrier, they also offer freight and mail services. With 9 hubs functioning throughout the country, they average around $522 million a month. In 1939, they began trading stock on the New York Stock Exchange (NYSE) under the symbol AAL. (Yahoo Finance, November 2013) American Airlines began trading stock publicly on December 9, 2013. In 1970, American Airlines gained its first Caribbean routes, merging with Trans Caribbean Airways. The agreements of the merger were that American Airlines would aid Trans Caribbean in obtaining a total of $10 million in financing. Also, for 100 shares of Trans Caribbean, American Airlines exchanged 17Â  shares. This merger would make for airlines first merger under its current name. (NY Times Archives, 1970.) January 10, 2001, it became public that American Airlines had acquired bankrupt Trans World Airlines (TWA) for $4.2 billion. This transaction made American Airlines the worlds largest airline carrier. American acquired all of TWAs assets, as well as saved the jobs of thousands of TWAs employees by integrating them into their family. (Biz Journals, 2001) In 2003, talks of possible bankruptcy arose for American. Labor unions eventually approved economizing contracts to avoid the bankruptcy, in which employees agreed to accept intense pay cuts in attempts to save the airline. Joy came in 2007, when American reported an annual profit of $231 million for fiscal 2006, its first reporting since around 2000. But, the glory didnt last long, as shareholders announced at their annual meeting that due to soaring jet fuel costs, they would have to lay off thousands of workers, park at least 85 aircraft, cut domestic capacity by 25%, and increase baggage fees and other service offered to customers. An official bankruptcy protection was filed November 29, 2011, after the airline reported a net loss of $471 billion, bringing their total losses to exceed $10 billion since 2001. American had acquired $29.6 billion in debt. Required to run all their future financial decisions across a judges desk, they were permitted to purchase fuel, pay for labor, and other expenditures, to maintain business. In July 2011, they received approval to place the largest plane order in history, buying 460 aircraft from Boeing and Airbus, replacing older planes. The newer models would cut down on fuel and maintenance costs. (Yahoo Finance, 2011) The year of 2012 introduced talks of a merger with US Airways. Agreements were made to exchange financial information so that the companies can research the potential merger. The merger eventually passed February 2013, officially announced on the 14th day of the month, thus the creation of the worlds biggest airline. (Yahoo Finance, 2013) As of December 31, 2015, American Airlines gross profit was approximately $29 billion, with a net operating income of $6.2 billion and a net income of $7.6 billion, all driven by lower fuel costs, American could benefit from the decline on fuel prices. (2015 Form 10-K, AA.com) References American Airlines Investor Information, 2015 Form 10-K. http://phx.corporate-ir.net/phoenix.zhtml?c=117098p=irol-reportsannual History of American Airlines. https://www.aa.com/i18n/customer-service/about-us/history-of-american-airlines.jsp A timeline of events in American Airlines history, November 12, 2013. The Associated Press. http://finance.yahoo.com/news/timeline-events-american-airlines-history-011902886.html American Airlines acquires TWA. December 23, 2001. Biz Journals. http://www.bizjournals.com/stlouis/stories/2001/12/24/focus3.html Koenig, David. November 29, 2011. American Airlines files for bankruptcy protection. https://www.yahoo.com/news/american-airlines-files-bankruptcy-protection-121438848.html

Fetal Brain Tissue Transplantation in Parkinsons Disease Patients Essa

Fetal Brain Tissue Transplantation in Parkinson's Disease Patients Parkinson's disease is a neurological disorder characterized initially by muscular rigidity and slowing of voluntary movements (1). Ultimately, the characteristics are tremor, mask-like faces, decreased spontaneous blinking, flexion posture and sometimes cognitive impairment. The neuropathology of Parkinson's disease generally involves loss of cell bodies in all melanin-containing brain regions and invariably a loss of substantia nigra dopamine-containing neurons (DA). The principal target for dopaminergic neurons located in the substantia nigra is the striatum and the loss of dopaminergic tone in the striatum is thought to produce most of the symptoms of Parkinson's disease. Since Parkinson's disease is a dopamine deficiency, treatment with L-Dopa, the precursor of dopamine, was successful in treating Parkinson's patients (1). However, these patients taking L-Dopa often develop side effects and in about 50% of the patients, the drug effectiveness is lost. As an alternative to drug therapy, the possibility of grafting dopamine-containing tissue into the brains was proposed. From the proposal, there have been a vast amount of experiments to test transplantation effectiveness. Work in amphibians and fish were the first to demonstrate the possibilities for neuronal replacement after damage in the central nervous system (2). In these species, especially in the visual system, grafted neurons were substituted both structurally and functionally for damaged axonal connections, and afferent and efferent connections were established with a high degree of specificity between the grafted neurons and the host. Evidence in adult sub-mammalian vertebrates has shown c... ...a, S., Brundin, P. and Gustavii, B., 1989, Human fetal dopamine neurons grafted into the striatum in two patients with severe Parkinson's disease. A detailed account of methodology and a 6-month follow-up. Archives of Neurology 46: 615-631. 6. Freed, C.R., Breeze, R.E., Rosenberg, N.L. and Schneck, S.A., 1990, Transplantation of human fetal dopamine cells for Parkinson's disease. Results at 1 year. 47: 505-512. 7. Jankovic, J., Grossman, R., Goodman, C. and Pirozzolo, F., 1989, Clinical, biochemical and neuropathologic findings following transplantation of adrenal medulla to the caudate nucleus for treatment of Parkinson's disease. Neurology 39: 1227-1234. 8. Allen G.S., Burns, R.S., Tulipan, N.B. and Parker, R.A., 1989, Adrenal medullary transplantation to the caudate nucleus in Parkinson's disease. Initial clinical results in 18 patients. 46: 487-491.

Essay --

Diana Abdelfattah March 13, 2014 Communication 101 1) Discuss the ethical issues involved in Internet use. Given an example. There are ethical issues involved in Internet use. One of the ethical issues are being anonymous allows for other people to bully through online use and more crime rates. For example, people are able to steal someone else works online or have someone write a paper for them. Sometimes, people are caught plagiarizing. This is an easy way for people to use someone works by stealing their way to success or passing a class. This all shows that many things you put on the Internet is permanent. Many people forget what they put on Facebook affect how you are perceived or will affect the way people are judged. More importantly many people use social media to bully while being anonymous. This provides an easy way because there are limit amount of laws to regulate this form of abuse. Also technology makes it easy to get away with bullying. Another way ethical issues are violated online is through online scams. People commit crimes such as credit card theft. Hackers can easily use technology to violate someone privacy by stealing information. Also technology makes it easy to have free content online which make it easy to download illegal like movies, music or television show instead of paying for them online. It violates copyright laws and prevents the company from gaining money for the content being used. All of this shows that online privacy is violated on the Internet. This by shows ethical issues involved in Internet use. 2) Explain why perceived differences and similarities are more important to attraction than actual differences and similarities. Give an example. The perceived differences and similarities ar... ... the main thesis (the take-home message) in Bennett, Lawrence, and Livingston (2006)? The main thesis in in Bennett, Lawrence, and Livingston (2006) is the sense that journalist using framing techniques are limited in providing readers with objectivity views. In the way they are force to behave this way thru the government to not shed the facts to be guard dogs. The article states the media fails in being partiality in providing the audience with an objectivity view of news frames. That this leads to the fact that journalists are not able to be independent when writing. Thus the white house holds more of the control of what is written when sent to the masses. Journalists are being guard dogs in the sense that they are limited in the information given and have the information censored. Compared to the journalist in being objective and being watchdogs for the masses.

Why special needs children should be mainstreamed

This article spends the bulk of its clip informing the reader of the different facts behind the history of mainstreaming instruction. It begins with a glossary of different footings that are used when discoursing mainstreaming. This glossary becomes rather utile, in that it relates the reader to terminology such as, IDEA, which is the Persons with Disabilities Education Act, or IEPT which is Individualized Education Planning Team. It so moves on to the background of mainstream instruction. It shows the economic facets every bit good, demoing that to educate a mentally impaired kid it costs about three times the sum it does to educate a kid that is non mentally impaired. It so goes on to advert how Michigan has gone supra and beyond the federal Torahs when related to mainstream instruction. The article concludes by adverting the rapid growing of particular instruction, which besides means an addition in the demand for mainstreaming these kids. This article is a firsthand history of what one instructor has learned after learning kids that have been mainstreamed. She makes three points about what demand to be realized about mainstreaming in her article. The first thing she points out is a immense barrier towards mainstreaming. The writer points out that kids that are mentally impaired and mainstreamed, are by and large self-aware about it, and hence do non desire to pull attending to themselves, and so make non inquire inquiries, because they do non desire to look foolish. She so points out that kids that are non mentally impaired do non inquire inquiries because they do non desire to be looked at as the dense pupil. Another point that this writer makes is that mentally impaired pupils need one-on-one contact with a instructor, which can be hard when being mainstreamed, and being in category with 30 or more other pupils. This article was really enlightening, in demoing the differences between mainstreaming instruction for mentally impaired pupils, and the thought of inclusion. Perles points out that the chief difference between the two is the sum of support the pupil gets from instructors and other staff. Another big difference between the two is the outlook of the pupil. When being mainstreamed a mentally impaired pupil is expected to larn at a similar gait as the other pupils, although a small spot slower, when traveling through inclusion the outlooks are much lower, but are still related to what is expected of the other pupils. The thought behind mainstreaming is to assist a pupil better academically and socially by being given higher outlooks, and being around other pupils. The thought behind inclusion is assisting mentally impaired pupils better socially by puting them in schoolrooms with other pupils, instead than concentrate on faculty members. This article points out non merely some of the benefits of mainstream instruction, but besides some marks to state whether or non a pupil should be mainstreamed or non. The writer points out instantly that taking whether or non to mainstream a kid is a personal pick for any parent of a particular needs kid. She so mentions some of the factors one should see when make up one's minding whether or non to mainstream their kid. First, a parent should see the noise degree of a schoolroom, and whether their kid would be able to work with an increased noise degree, as compared to a schoolroom that contains other mentally impaired pupils merely. Another of import factor is how the kid behaves normally in public, if the kid is person that is non capable of acting themselves around other people in public, so they would non profit from being mainstreamed. The writer goes on to advert that mainstreaming can hold positive effects on all kids, the mentally disabled kids gain the societal accomplish ments, and derive friendly relationships, while other kids, without those disabilities learn how to handle people that are different than they are. This article attempts to present the reader to the construct of mainstreaming mentally impaired kids in public instruction. The writer starts the article by specifying what inclusion is. He so points out that there are two chief types of inclusion. Inclusion itself is when particular demands kids spends a few categories with general instruction classs, and so pass the remainder of the twenty-four hours with the particular instruction categories, whereas Full-inclusion is when particular needs kids spend the full twenty-four hours in general instruction categories. Full-inclusion frequently means that there is either no particular instruction schoolroom, or that there are really few pupils in at that place, with merely one or two instructors. As the writer points out, inclusion is popular for a few grounds, first it follows the American with Disabilities Education Act ( aka IDEA ) , and the Rehabilitation Act of 1973. Another large ground that inclusion is a popular thought is that it is cost effectual, by incorporating mentally disabled pupils into general instruction schoolrooms, schools do non necessitate to engage as many staff members as they would if they were unable to mainstream those pupils. Arguably the biggest job confronting inclusion is the deficiency of general instruction instructors being trained so that they are able to learn both the mentally disabled pupils and the other pupils reasonably, without being excessively hard on the mentally handicapped, and without being excessively simple for the remainder of the category. This article looks at the practicality of inclusion. The writer spends most of the article informing the reader about some of the jobs that face inclusion, and the practicality of it. She mentions that one of the biggest jobs confronting inclusion is that the instructors need to be trained in how to learn, non merely general instruction pupils, but besides mentally impaired pupils, and non merely separately, but both at the same clip. What the reader needs to recognize, nevertheless, is that the writer is non merely playing Satans advocator for inclusion, but instead, the writer is indicating out the defects with full-inclusion, which is easy the more hard of the two when it comes to execution. Unfortunately, many of the points that are brought up in this article that have become outdated, and this is non the mistake of the writer. The article was originally published in October 1997. Over the last 13 old ages, while the jobs that are brought frontward by the writer have non been sol ved, but at that place have been paces to better these jobs, and they are being solved reasonably quickly. This article informs the reader of what an inclusive school is like. The writer points out that if inclusion is traveling to be successful, so the mentally impaired pupils need to be viewed the same as any other pupil, by every other pupil. Until this happens, inclusion can non be considered complete, or successful. The writer besides includes a chart of things that inclusion seeks to make in any schoolroom, things that it tries to make less of, and things it tries to make more of. This includes things like Less whole category teacher-directed direction and More attending to affectional demands and the changing cognitive manners of single pupils. If inclusion is traveling to work so schools need to turn to the points that this writer brings up, and either work out the jobs associated with them, or implement the different thoughts. This article sets out to open the eyes of the reader to the existent grounds behind the mainstream motion. The writer points out instantly the grounds that she believes mainstream instruction has become such a popular thought. The writers first ground for the popularity behind the popularity it has incurred is cost. It is a batch cheaper to pay for a few instructors that can learn both mentally disabled kids, and general instruction kids, than wage for instructors for each separately. The ground is non so that schools can do more money by non paying for single particular instruction teachers, but instead because schools are confronting more and more budget cuts, particularly in Michigan, schools need to happen manner to cut costs, and by doing particular needs kids take category with general instruction pupils the school does non hold to pay for an excess teacher. The writer so mentions that this is all being done deceivingly, by mentioning that this is being done so that mentally im paired kids are treated with equality, when compared to other kids, people decide that these kids need to be mainstreamed, and the terminal consequence is that they may non be acquiring the instruction they would be acquiring if they were non being mainstreamed. This article is alone from the remainder in that it non merely supports the thought of mainstream instruction, but the article lists seven stairss that parents of mentally disabled kids should travel through to assist find whether or non they should see mainstreaming their kid. The writer besides mentions that while mainstreaming is something to see, there are certain fortunes that one needs to believe about earlier merely presuming that mainstreaming their kid is the right manner to travel. Before one determines that they will partake with a mainstream-style instruction for their kid they need to see the badness of their kids damage. If their kid is badly impaired, or needs a batch of single attending, so the kid can non work in a mainstream environment, and it would destroy the categories that they would go to. But, if you determine that your kid will be able to manage mainstream instruction, they should. There have been surveies that have shown that kids that go through mainstream instruction go more functioning parts of society than those that were isolated in merely particular instruction schoolrooms. One key point that the writer did do is that mainstream instruction demands to turn to the demands of the mentally impaired kid, while still turn toing what the other pupils need academically. This article decidedly seems to be the most cheerful about mainstream instruction. The writer references that for mainstream instruction to work parents necessitate to be involved, but allow the kids believe they are the ground that everything is working so good. While the parents need to let their kids to believe this duty is theirs entirely, the parents besides play a important function in how effectual mainstream instruction will be for their kid. The parents need to back up their kids, while keeping a moderately high degree of outlooks for their kids, and this manner the pupil will make their maximal potency. One really of import factor that the3 writer points out is that, while parents can presume that the people in charge of running mainstream instruction have their kids best involvement in head, the parents are the lone people that are traveling to be worried about their kid above all else. Parents need to be the figure one advocator for their kid, or they will non acquire wha t they want out of mainstream instruction. This article points out something that none of the others has, mainstream instruction does non merely impact the parents, and mentally handicapped kid. Mainstream instruction affects the full household, siblings can frequently clock feel isolated from their parents when all of this attending is traveling to merely one of their kids. The writer points out that one thing that parents should look into is happening some signifier of support for everyone in the household.